January 2019
31
 
 January 31, 2019 @ 5:00 PM to 9:00 PM

X-ray Education - X-ray Ordering for the Physical Therapist

This course fulfills the required competency continuing education for PTs to order Radiographs in WI.

When: January 31, 2019 5-9pm

Location: Bolz Auditorium - S. Brooks St., Madison, WI - Also available via LIVE webinar!

This course fulfills the required competency continuing education for PTs to order radiographs in Wisconsin.

Cost: $95 for members, $125 for potential-members

Questions? Contact Southwest District Chair Jennifer Jeschke at [email protected]

 

Course Description:

Physical therapists have the authority to order x-ray images in Wisconsin and routinely use the results of imaging studies to make patient care decisions.  This course will provide attendees the knowledge, skills, and confidence to order x-ray images in outpatient physical therapy care settings.  Through lecture and case-based learning, attendees will learn how to properly order specific projection views to evaluate all body regions.  Attendees will also understand the rights, responsibilities, and best practices for using x-ray imaging in clinical practice as well as situations when advanced imaging is indicated. This course includes a competency exam and was collaboratively designed by physical therapists and a radiologist. (4 contact hours)

Course Objectives:

At the conclusion of the course attendees will:

  1. summarize the Wisconsin statute and administrative code governing physical therapist x-ray orders.
  2. compare the indications, limitations, and risks of plain film radiography and advanced imaging techniques.
  3. demonstrate competence and accuracy when ordering x-ray images.
  4. implement evidence-based strategies to optimize patient care, facilitate professional communication, and prevent imaging overutilization.
  5. distinguish patient scenarios requiring referral to appropriate providers for further evaluation or advanced imaging.

Course Developer Biographies:

Evan O. Nelson, PT, DPT, is a board certified orthopaedic clinical specialist and assistant professor in the University of Wisconsin-Madison School of Medicine and Public Health Department of Family Medicine.  In his faculty role, Dr. Nelson teaches diagnostic imaging, medical screening, differential diagnosis, and clinical decision-making in the Doctor of Physical Therapy Program.  Throughout his career, he has referred patients for x-ray images and treated patients in direct access sports and orthopedic physical therapy settings.  He serves as preceptor and instructor in the UW Health & UnityPoint Health-Meriter Orthopedic Physical Therapy Residency program.  He testified before the Wisconsin Senate Health Committee regarding the appropriateness of physical therapist ordered x-ray images in 2016.  Dr. Nelson earned a Doctor of Physical Therapy degree from Duke University and is a PhD candidate in the Clinical Investigation program at the University of Wisconsin-Madison. He is an active member of the WPTA and APTA.

Scott P. Tauferner, PT, ATC is an Advanced Clinician Physical Therapist at UW Hospital and Clinics. A spine physical therapy specialist, his clinical interest and experience includes ordering x-ray images, direct access patient care, spinal manipulation, and interdisciplinary care collaboration. Mr. Tauferner is a musculoskeletal imaging instructor for the Physical Therapy Direct Access training program at UW Health. He also serves as a preceptor and lead instructor for the musculoskeletal imaging course in the UW Health & UnityPoint Health-Meriter Orthopedic Physical Therapy Residency program. A recognized clinical expert, he was an invited panelist to develop a musculoskeletal imaging competency exam for physical therapists. Mr. Tauferner earned his Master of Physical Therapy degree from the University of Wisconsin-Madison and Bachelors of Science in Athletic Training from the University of Wisconsin-Stevens Point.

Jason W. Stephenson, MD is a board certified radiologist and assistant professor of Radiology in the University of Wisconsin School of Medicine and Public Health Department of Radiology. Dr. Stephenson is the Director of Medical Student Education for the department as well as the Integrated Block Leader for the UWSMPH Mind & Motion Course.  Dr. Stephenson has over 20 years of experience as an educator with academic interests that include medical education across health-related professional disciplines, radiology education, curriculum design, and instructional technology.  His clinical interests include soft tissue and bone biopsy, spine and joint injection, vertebroplasty, and small-part musculoskeletal MRI.  He currently sits on the board of directors for the Joint Review Committee on Education in Radiologic Technology (JRCERT) and is a past chair of the UWSMPH Educational Policy Council. Dr. Stephenson earned his Bachelor of Arts degree at Stanford University and Doctor of Medicine degree from Washington University School of Medicine in St. Louis, MO.  He completed residency and Musculoskeletal fellowship training at Mallinckrodt Institute of Radiology.

Course Schedule

 

Topic

40 minutes

Opening

Types of imaging modalities

WI law, rights & responsibilities

Imaging guidance resources

Clinical decision rules

ACR Appropriateness Criteria

 

 

25 minutes

Imaging basics

Spine imaging

Projection views for:

Cervical, thoracic, lumbar, pelvis

 

 

50 minutes

Spine Imaging Case Study & Discussion

 

 

10 minutes

Break

 

 

15 minutes

Lower extremity imaging

Projection views for:

Hip, knee, ankle, foot, long bone segments

 

 

35 minutes

Lower Extremity Imaging Case Study & Discussion

 

 

20 minutes

Upper extremity imaging

Projection views for:

Shoulder, elbow, wrist, hand

 

 

10 minutes

Upper Extremity Imaging Case Study & Discussion

 

 

30 minutes

Competency exam

 
February 2019
2
 
 February 2, 2019 @ 8:00 AM to 5:00 PM

Save the Date! 

Location: Bryant & Stratton College - Wauwatosa, WI

 
March 2019
5
 
 March 5, 2019 @ 11:00 AM to 12:00 PM

Unraveling the Mystery of Insurance Coverage Policies for Better Coverage and Payment!

Intended Audience: Physical and Occupational Therapists, Therapist Assistants, Office/Billing Administration

Date and Time: March 5th - 11am-Noon (1 Contact Hour) - All Elements meet Ethics and Jurisprudence requirements.

Fees: WPTA Member and Non-PT Office Personnel - $50/Non-Member $125

Course Description: This course is designed to teach rehabilitation personnel both clinical and administrative the skills needed to maximize coverage and payment by third party payers for therapy services. Both traditional and niche providers will learn how to best understand and remain contemporary on third party payer policies. Proper evaluation and documentation as well as diagnostic coding will be explored. In addition, short cuts to preparing authorization and appeal documents will be addressed. It is time that we all have a better understanding of the payer side of the game!

Course Objectives:

  • Participants will list key policies that pertain to coverage and payment of therapy services.
  • Participants will identify key niche services as well as traditional PT services that would benefit from optimal payer policy coverage insight.
  • Participants will experience then outline the process of determining payment policies as they pertain to ICD-10 DX coding, CPT Coding and timed code billing.
  • Participants will outline how Medical/Clinical Coverage policies impact patient access to care and provider payment.

Speaker Bio: Lynn Steffes, PT, DPT, is a 1981 graduate of Northwestern University, and completed her Transitional DPT in 2010. She served as a Network Administrator for a group of 50+ private practice clinics where her primary responsibilities included marketing, payer and provider relations and contract management. In addition Dr. Steffes is active in her profession on the Nominating Committee for the Private Practice Section of APTA, and the WPTA, serving as the Chapter's Reimbursement Specialist. She is President/Consultant of Steffes & Associates, a rehabilitation consulting service. She provides consulting services to rehab providers nation-wide.

Save the Date! Online registration coming soon. 

 
19
 
 March 19, 2019 @ 6:30 PM to 8:30 PM

Save the Date!
The next WPTA Southeast District meeting will be held on March 19, 2019, at the Miller Inn in Milwaukee, WI. This is our annual Ethics & Jurisprudence CEU. Each year, the SED offers two hours of ethics and jurisprudence training to help fulfill your four hours of biennial licensure requirements along with a short district meeting providing members with updates on local, state, and national issues.

This year's course will be presented by Tina Stoeckmann, PT, DSc, MA, Clinical Professor in the Department of Physical Therapy at Marquette University, and Director of their Neurologic PT Residency program in partnership with the Zablocki VA Medical Center. The topic will be on the Jimmo vs. Sebelius case, which was a legal case brought against Medicare regarding the provision of and reimbursement for maintenance care. Additional course information is below.

 

What goes well with ethics? Free beer, of course! Beer and non-alcoholic beverages will be available to attendees. Non-WPTA members are welcome, but we request a $20 fee to assist with meeting-related costs. Attendance is free for WPTA members.

 

WPTA SED Meeting & Ethics/Jurisprudence Continuing Education (2 CEUs)

Date & Time: Tuesday, March 19, 2019, 6:30 p.m.

Location: Miller Inn at Miller Brewing Company, 3931 W. State Street, Milwaukee, WI 53208

Parking: Free parking available at the Miller Brewing Visitors Center, 4251 W State St, Milwaukee, WI 53208 a few blocks from the Miller Inn. There is also some street parking nearby

Questions? Contact Abby Inman, SED Chair at [email protected]

Jimmo vs. Sebelius: Can we get paid for maintenance care?
Program Description:

Trying to maintain our professional integrity while providing excellent care within the business model of health care can lead to ethical distress. The relative contributions of economics, social justice and our duties to multiple parties make this a particularly thorny issue. This presentation will focus on the inherent legal and ethical challenges of determining continuance of care versus discharging our patients who may not ever get “all better”. The Jimmo vs. Sebelius case established that Medicare coverage cannot be denied based on the lack of improvement, however, reimbursement claims are still often rejected. In today’s healthcare environment, it is important to understand our obligation to provide “skilled care” and how this is related to reimbursement challenges including private pay and avoiding overutilization of services.


Course Objectives:
By the end of this presentation, participants will be able to…

  • Identify legal documentation and ethical principles related to reimbursement
  • Compare and contrast the business vs. professional aspects of the provision of health care services
  • Identify how evolving business models for health care reimbursement are changing our professional duties and relationships with others
  • Understand the implications of the Jimmo case in the provision of skilled maintenance care.
  • Recognize when and how to determine the continuance vs. discharge of patients with chronic conditions
  • Apply the concepts presented in this course to case discussions and conflicts in one’s own practice

Course Outline:

6:30 – 7:30 PM                       The business of health care

7:30 – 8:30 PM                       Jimmo v. Sebelius

 

Tina Stoeckmann, PT, DSc, MA

Dr. Tina Stoeckmann is a Clinical Professor in the Department of Physical Therapy at Marquette University, and Director of their Neurologic PT Residency program in partnership with the Zablocki VA Medical Center. She is a former member of the WPTA Ethics Committee and currently serves as an ethics consultant for the WPTA. She received her Bachelor of Science degree in Physical Therapy from the UW – Madison in 1988, a Masters of Arts in Bioethics from the Medical College of Wisconsin in 1999, and her Doctor of Science in Neurologic Physical Therapy from Rocky Mountain University of Health Professions in 2008. She continues to see neurologic patients at Marquette University. Tina has presented to a variety of audiences on a wide range of ethics topics over the last 20 years.

 

References:

  • Department of Safety and Professional Services website: https://dsps.wi.gov/pages/home.aspx
  • APTA Code of Ethics and Guide for Professional Conduct: www.apta.org
  • Andereck WS. Commodified Care. Cambridge Quarterly of Healthcare Ethics 2007;16:398-406.
  • Banja JD. The rehabilitation marketplace: economics, values, and proposals for reform. Arch Phys Med Rehabil 2000;81:233-40.
  • Churchill LR. The hegemony of money. Cambridge Quarterly of Healthcare Ethics 2007;16:407-414.
  • Fine M. The meaning of “integrity” in the health professions. Rhode Island Med J 2013; Nov:17-18.
  • Glaser JW. Three realms of ethics: individual, institutional, societal. Kansas City: Sheed & Ward, 1994.
  • Jonsen, A. Guest editorial: a note on the notion of commercialism. Cambridge Quarterly of Healthcare Ethics 2007;16:368-373.
  • Kassirer JP. Commercialism and medicine: an overview. Cambridge Quarterly of Healthcare Ethics 2007;16:377-386.
  • Lundy, C. Methods to identify and address the ethical issues associated with managed care. Penn Bioethics Journal 2006;II(ii):1-5.
  • Purtilo R Ethical dimensions in the health professions, 5th Ed. Philadelphia: Saunders, 2010.
  • Richardson RW. Ethical issues in physical therapy. Curr Rev Musculoskeletal Med 2015;8:118-21.
  • http://www.medicareadvocacy.org/jimmo-v-sebelius-the-improvement-standard-case-faqs/
  • https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/Downloads/jimmo_fact_sheet2_022014_final.pdf

 
April 2019
 
 April 25, 2019 @ 8:00 AM to April 26, 2019 @ 5:00 PM

Location: La Crosse Center, La Crosse.  Overnight rooms at the Radisson.  More details to follow. 

 
October 2019
 
 October 10, 2019 @ 8:00 AM to October 11, 2019 @ 10:00 PM

Location: Madison Marriott West, Middleton